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Effects of Cervical SNAGs With and Without Thoracic Manipulation on Neck Pain and Disability in Smartphone Users
Sponsor: University of Management and Technology Lahore
Summary
Non-specific neck pain is a pain and discomfort in the cervical spinal area that arises without trauma, clearly identifiable pathological cause such as fracture infection, nerve root compression, inflammatory disease or serious structural abnormality. Frequent smartphone use in a pathological way forces the user to adopt a compromised posture, gradually resulting in changes to both the postural and musculoskeletal systems. The incidence of non-specific neck pain (NSNP) makes up approximately 25% of all outpatients in general clinics and 12-70% of the general population. According to symptom duration, Chronic non-specific neck pain is usually classified as pain lasting or recurring for \> 3 months. Techniques such as SNAG mobilization and thoracic manipulation may also improve posture and cervical biomechanics by restoring normal spinal mobility. The objective of this study will be to compare the effects of Cervical, Sustain Natural Apophyseal Glide with and Without Thoracic Spine Manipulation on Pain, Range of Motion and Neck Disability in Smartphone Users with Non-Specific Neck Pain. Study design will be randomized clinical trial. Evaluation will be done by using NPRS, NDI and smartphone inclinometer. Non-probability convenient sampling will be used and the subjects will be allocated to two groups by random allocation. Group A will receive cervical SNAG and thoracic manipulation along with conventional physiotherapy and Group B will receive cervical SNAGS alone with conventional physiotherapy. Both groups will receive 12 sessions for the period of 4 weeks. Measurements of all the outcome variables will be taken at baseline, 2nd and 4th week. Results will be analyzed by using SPSS 24
Official title: Effects of Cervical Sustain Natural Apophyseal Glide With and Without Thoracic Spine Manipulation on Pain, Range of Motion and Neck Disability in Smartphone Users With Non-Specific Neck Pain.
Key Details
Gender
All
Age Range
20 Years - 50 Years
Study Type
INTERVENTIONAL
Enrollment
60
Start Date
2026-10-27
Completion Date
2026-12-31
Last Updated
2026-11-02
Healthy Volunteers
No
Conditions
Interventions
Cervical SNAGS and thoracic manipulation with conventional physiotherapy
Participants in Group A will receive Cervical Sustained Natural Apophyseal Glide (SNAG) mobilization combined with thoracic spine manipulation along with conventional physiotherapy treatment. * Cervical SNAG Mobilization Cervical SNAG mobilization will be applied according to Mulligan's concept in a pain-free direction. The therapist will apply a sustained facet glide while the participant actively performs the restricted cervical movement (flexion, extension, rotation, or side bending). There will be 3 sets of 6-10 repetitions per movement. The hold duration will be 3-5 seconds with the rest interval of 30 seconds between sets. * Thoracic Spine Manipulation High velocity low amplitude (HVLA) thoracic manipulation will be applied to the upper thoracic region (T1-T4/T6) with the participant in prone lying position. Manipulation frequency will be 1-2 thrusts per session and target region will be upper thoracic hypomobile segments.
Cervical SNAG Mobilization Alone + Conventional Physiotherapy
Participants in Group B will receive Cervical Sustained Natural Apophyseal Glide (SNAG) mobilization alone along with conventional physiotherapy treatment. Cervical SNAG mobilization will be applied according to Mulligan's concept in a pain-free direction. The therapist will apply a sustained facet glide while the participant actively performs the restricted cervical movement (flexion, extension, rotation, or side bending). There will be 3 sets of 6-10 repetitions per movement. The hold duration will be 3-5 seconds with the rest interval of 30 seconds between sets
Locations (1)
UMT, Lahore
Lahore, Punjab Province, Pakistan